HomeMy WebLinkAboutPermit Electrical 1993-3-26
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225 FIFTH STREET approval." 'Li::>f!... ELECTRICAL PERHITAPPLICATION
SPRINGFIELD, OREGON 97477 Zonlnp q-2'A/
INSPECTION J{EOUEST: 726-3762 .1...,---1.3. JI! Ci,tY, Job, Number ' '~A~'71 ~
OFFICE: 72'6-3759 Oat '3 ,- ,L.J...bL
Authorized Signature" ,- ,.---'COhl:' W. TE~FEE SCHEDULE BELOV
l.rifti~~O~ ~f1To ~
. LEGAL DESCRIPTION
,
!:~~~s~:~e
if work is not ~tarted
of issuance or if work
180 days.
and expire
within 180 days
is suspended for
)
2. CONTRACTOR INST
(Electrical
Address
\ Ci ty (
\~upervi or License
\
,
E~pirati n Date
..
te
Supervising Electric~
I D
Owners Nam~' 0 ~ \ .
Address A~ [ ~ n ri .9 Y)._l..) j
City Q,~~o " Phone,0~b:~~'
OVNER INSTALLATiON
The installatiori is beirtg made on
property I own whi~h is not intended
for sale, lease or/rent.
Owners Signature:
DATE~---~~~7J70:~q:5--~~~-~-----
RECEIPT it: 'L j . ~ '1'--1. ~ I
RECEIVED RTf.~}:) )
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
, ,
, . .
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
/'
200 amps
201 amps
Over" 401
Over. 600
or less
~o 400 amps
to 600 amps
amps or 1000
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or'Feeders
Installation,' Alteration or Relocation
(
$ 40.00
$ 55.00
$ 80.00
see "B"
4ll
volts
above
Branch Circuits
Ne~, ~lter~tion or Extension Per Panel
MiscellaneQus(Service/feeder
-Each; installation
Pump or irrigation
Sign/Outline Lighting
Limit~d E~ergyJRes
Limit~d Energy/Comm
One C'ircui t
Each Additional, ,
C~rcuit or. with Service
or F~eder Permit
E.
5.
SUBTOTAL OF ABOVE
5% StateS~rcharge
TOTAL' ,
;'1
$ 35.00 ' '
$ ~ 2 . 00 .
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36cV
-:J' "
"~'ID
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